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ME/CFS Severe → somewhat betterIll 6.5 years before improving or writingNeeds ongoing treatment

ME/CFS with POTS, arthritis and migraines, somewhat better with hydroxychloroquine

Condition
ME/CFS
At worst
Severe (mostly bedbound)
Ill before improving or writing
6.5 years
Last post
Sep 2026
In their words
  • Condition: ME/CFSI have ME (unofficially diagnosed by rheumatologist but she couldn’t put it in my chart as it’s supposed to be handled by GPs now) In context ↗
  • At worst: SevereI can do these things maybe once or twice a month, but that’s more than before, and it gives me something to look forward to (as opposed to just lying in bed unable to even lift my phone most days). In context ↗
  • Now: Somewhat betterI am better than I was before the surgery. I’m still moderate to severe in terms of ME In context ↗
  • Began after: COVIDit got significantly worse after what I believe was a Covid infection in Feb 2020 (came into contact with someone coming from Wuhan through work)
Read from 11 of their posts and comments; links to the 9 this page draws on

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Summary

Stream 46184 fell ill in February 2020 after a work contact from Wuhan, developing POTS, arthritis and migraines. Hydroxychloroquine and zolmitriptan helped; quercetin with antihistamines eased suspected MCAS. Mounjaro later reduced pain and brain fog and bisoprolol slowed her heart. A hysterectomy for endometriosis cut her pain, but by 2026 she was still moderate to severe.

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What they tried

Their words about each treatment
  • antihistamines · Helpedthe only thing I experienced improvement with was starting on higher doses of antihistamines as per MCAS treatment protocol In context ↗
  • Quercetin · HelpedAntihistamines barely made a change but adding Quercetin for me made a visible difference. In context ↗
  • Hydroxychloroquine · Helped a lotGot diagnosed, started Hydroxychloroquine which helped immensely. In context ↗
  • Zolmitriptan · HelpedFirst thing that help me was Zolmitriptan. In context ↗
  • rest and pacing · HelpedWhat I would recommend - as you’re still in early stages - is rest and pacing. In context ↗
  • time · HelpedThird thing is time - a long, long time. And so much rest. In context ↗
  • electrolytes · Helpedelectrolytes help a bit In context ↗
  • Mounjaro · HelpedMy brain fog improved slightly (I started being able to read In context ↗
  • Bisopropol · Helpedin February I was prescribed Bisopropol for POTS and that caused further 5BPM drop. In context ↗
  • therapist · HelpedMy therapist (who btw was very important for my health, she also had long Covid so she helped immensely In context ↗
  • hysterectomy and excision surgery · Helped a lotHad a hysterectomy - massively reduced pain. In context ↗

Approaches: GLP-1 drugs · H1 antihistamines · Other drugs and medicines · Supplements · Surgery & structural

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 y6 y

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
February 2020COVID infection; developed POTS and arthritisI had a partner when I first got sick in Feb 2020 (met someone coming from Wuhan through work) ... my hands hurt too much to even lift a glass of water to my lips In context ↗Severe
2020medication started helping; took a remote jobI managed to get some medication in the meantime that started helping (Zolmitriptan for migraines, Hydroxychloroquine for arthritis) and found a new job ... Remote so I just about managed In context ↗MildHydroxychloroquine / Plaquenil
summer 2021baseline improved a bitSlowly my baseline improved a bit in summer In context ↗Mild
autumn 2021baseline dropped againIn autumn when my baseline dropped again - he made the 1.5h long trips to see me In context ↗Moderate
2024really bad 1.5 years, mostly lying in bedpast 1.5 years have been really bad though ... as opposed to just lying in bed unable to even lift my phone most daysSevere
2025excision surgery and hysterectomy for endometriosisI had excision surgery and a hysterectomy a bit over a year ago ... I am better than I was before the surgery In context ↗Severe
October 2025started Mounjaro; less pain and slightly less brain fogMy brain fog improved slightly (I started being able to read, it still comes and goes, but before that I couldn’t do it at all). My pains and aches improved In context ↗SevereTirzepatide (Mounjaro, Zepbound)
February 2026bisoprolol for POTS lowered standing heart ratein February I was prescribed Bisopropol for POTS and that caused further 5BPM drop In context ↗ModerateBisoprolol (Concor)
September 2026still moderate to severe, can occasionally go out and cookI’m still moderate to severe in terms of ME, but I was actually able to do things like attending a neighbour’s bday party (with a nap after 1.5h) In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI will PEM for at least a couple of days (or most likely a whole week) In context ↗
  • Brain fogMy brain fog improved slightly (I started being able to read, it still comes and goes, but before that I couldn’t do it at all) In context ↗
  • POTS & dysautonomiaI developed bad POTS and arthritis In context ↗
  • Mast cell (MCAS) & allergieshence it verified my suspicion of MCAS which I had on the base of my symptoms In context ↗
  • Pain & fibromyalgiaHydroxychloroquine for arthritis In context ↗
  • Headaches & migraineZolmitriptan for migraines In context ↗
  • Gut problemsdidn’t have any side effects others than occasional constipation In context ↗

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